Branch Endorsement - Facilitator IRB
Branches to submit form
SLSQ Branch
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Please Select
North Queensland Branch
North Barrier Branch
Wide Bay Capricorn Branch
Sunshine Coast Branch
South Coast Branch
Point Danger Branch
SLSQ Services - Lifeguards, BLS or other
Please select your Branch from the dropdown menu
Name of person submitting this form
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First Name
Last Name
Email of person submitting this form
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example@example.com
I confirm the below members hold the correct qualifications/ pre-requisites and have been endorsed by the branch.
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Pre-requisites
Be 18 years +
Hold all WWC requirements (BC, CSA, CYRMs)
Hold Current Marine Licence
Hold Current Drivers Licence
Hold Cert IV TAE 40116 or equivalent
Hold Current IRB Crew Award
Hold Current IRB Silver Medallion IRB Driver Award
Hold PUASAR015 Crew small powercraft in a rescue operation.
Hold PUAEQU001 Prepare, maintain and test response equipment
Hold PUASAR014 Operate and maintain a small powercraft and motor for rescue operations
Be a current Trainer and Assessor for IRB Awards
Trained and Assessed at least 1 course in the past 2 years
Endorsement - Facilitator IRB
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Approved - Branch Executive
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First Name
Last Name
Branch Executive position
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Position held
Branch Executive email
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example@example.com
Branch Executive date
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-
Day
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Month
Year
Date
Submit
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